Managing chronic kidney disease in a nurse-run, physician-monitored clinic: the CanPREVENT experience.
The purpose of this study was to examine the nature of the care provided to people with chronic kidney disease within a larger study of nurse-run, physician-monitored clinics, as well as how patients, nurses, and nephrologists described their experience with the clinics. Interviews were conducted with 7 nurses, 5 physicians, and 23 patients. Data collection also entailed review of 40 randomly selected charts. Identified themes related to characteristics of the nurse, patient-centred care, health promotion, teaching, dealing with problems, time, protocols, consultation and referrals, clinic logistics, paperwork/documentation, and nurse-physician collaboration. Challenges and outcomes were also described as part of the experience with the clinic. Patients were actively engaged in self-management and reported high levels of satisfaction with care as well as improvements in selected outcomes. Overall, the perceptions of this model of care were positive and the approach warrants further exploration.
Molzahn
Anita E
AE
Faculty of Nursing, University of Victoria, British Columbia, Canada. anita.molzahn@ualberta.ca
Hibbert
Maryse Pelletier
MP
Gaudet
Denise
D
Starzomski
Rosalie
R
Barrett
Brendan
B
Morgan
Janet
J
D000368:Aged; D000554:Ambulatory Care Facilities / Q000458:organization & administration; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002170:Canada; D032022:Delegation, Professional; D005260:Female; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D007676:Kidney Failure, Chronic / Q000517:prevention & control / Q000523:psychology; D008297:Male; D008503:Medical Staff / Q000458:organization & administration / Q000523:psychology; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D010353:Patient Education as Topic / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D019555:Physician-Nurse Relations; D010865:Pilot Projects; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D012017:Referral and Consultation; D011795:Surveys and Questionnaires